ATI PHARMACOLOGY PROCTORED EXAM TEST
xx xx xx xx
BANK/ATI PHARMACOLOGY EXAM 2024/245
xx xx xx xx
QUESTIONS WITH CORRECT ANSWERS AND
xx xx xx xx xx
RATIONALE/A+GRADED/ VERIFIED 2024-2025
xx xx xx
1) xxA xxnurse xxis xxcaring xxfor xxa xxclient xxwith xxhyperparathyroidism xxand xxnotes xxthat
xxthe xxclient's xxserum xxcalcium x x level xxis xx13 xxmg/dL. xxWhich xxmedication xxshould xxthe
xxnurse xxprepare xxto xxadminister xxas xxprescribed xxto xxthe xxclient?
1. Calcium xxchloride
2. Calcium xxgluconate
3. Calcitonin xx(Miacalcin)
4. Large xxdoses xxof xxvitamin xxD
3. xxCalcitonin xx(Miacalcin)
xxRationale:
The xxnormal xxserum xxcalcium xxlevel xxis xx8.6 xxto xx10.0 xxmg/dL. xxThis xxclient xxis
xxexperiencing xxhyperkalemia. xxCalcium xxgluconate xxand xxcalcium xxchloride xxare
xxmedications xxused xxfor xxthe xxtreatment xxof xxtetany, xxwhich xxoccurs xxas xxa xxresult xxof
xxacute xxhypocalcaemia. xxIn xxhyperkalemia, xxlarge xxdoses xxof xxvitamin xxD xxneed xxto xxbe
xxavoided.
Calcitonin, xxa xxthyroid xxhormone, xxdecreases xxthe xxplasma xxcalcium xxlevel xxby xxinhibiting
xxbone xxresorption xxand xxlowering xxthe xxserum xxcalcium xxconcentration.
2.) Oral xxiron xxsupplements xxare xxprescribed xxfor xxa xx6-year-old xxchild xxwith xxiron
xxdeficiency xxanemia. xxThe xxnurse xxinstructs xxthe xxmother xxto xxadminister xxthe xxiron
xxwith xxwhich xxbest xxfood xxitem?
1. Milk
2. Water
3. Apple xxjuice
4. Orange xxjuice
4.
xxOrange
xxjuice
xxRationa
le:
Vitamin xxC xxincreases xxthe xxabsorption xxof xxiron xxby xxthe xxbody. xxThe xxmother xxshould
xxbe xxinstructed xxto xxadminister xxthe xxmedication xxwith xxa xxcitrus xxfruit xxor xxa xxjuice
xxthat xxis xxhigh xxin xxvitamin xxC. xxMilk xxmay xxaffect xxabsorption xxof xxthe xxiron. xxWater
xxwill xxnot xxassist xxin xxabsorption. xxOrange xxjuice xxcontains xxa xxgreater xxamount xxof
xxvitamin xxC xxthan xxapple xxjuice.
, 3.) Salicylic xxacid xxis xxprescribed xxfor xxa xxclient xxwith xxa xxdiagnosis xxof xxpsoriasis. xxThe
xxnurse xxmonitors xxthe xxclient, xxknowing xxthat xxwhich xxof xxthe xxfollowing xxwould
xxindicate xxthe xxpresence xxof xxsystemic xxtoxicity xxfrom xxthis xxmedication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased xxrespirations
1. Tinnit
us
xxRation
ale:
Salicylic xxacid xxis xxabsorbed xxreadily xxthrough xxthe xxskin, xxand xxsystemic xxtoxicity
xx(salicylism) xxcan xxresult. xxSymptoms
include xxtinnitus, xxdizziness, xxhyperpnea, xxand xxpsychological xxdisturbances.
xxConstipation xxand xxdiarrhea xxare xxnot xxassociated xxwith xxsalicylism.
4.) The xxcamp xxnurse xxasks xxthe xxchildren xxpreparing xxto xxswim xxin xxthe xxlake xxif xxthey
xxhave xxapplied xxsunscreen. xxThe xxnurse xxreminds xxthe xxchildren xxthat xxchemical
xxsunscreens xxare xxmost xxeffective xxwhen xxapplied:
1. Immediately xxbefore xxswimming
2. 15 xxminutes xxbefore xxexposure xxto xxthe xxsun
3. Immediately xxbefore xxexposure xxto xxthe xxsun
4. At xxleast xx30 xxminutes xxbefore xxexposure xxto xxthe xxsun
At xxleast xx30 xxminutes xxbefore xxexposure
xxto xxthe xxsun xx
Rationale:
Sunscreens xxare xxmost xxeffective xxwhen xxapplied xxat xxleast xx30 xxminutes xxbefore
xxexposure xxto xxthe xxsun xxso xxthat xxthey xxcan xxpenetrate xxthe xxskin. xxAll xxsunscreens
xxshould xxbe xxreapplied xxafter xxswimming xxor xxsweating.
5.) Mafenide xxacetate xx(Sulfamylon) xxis xxprescribed xxfor xxthe xxclient xxwith xxa xxburn
xxinjury. xxWhen xxapplying xxthe xxmedication, xxthe xxclient xxcomplains xxof xxlocal
xxdiscomfort xxand xxburning. xxWhich xxof xxthe xxfollowing xxis xxthe xxmost xxappropriate
xxnursing xxaction?
1. Notifying xxthe xxregistered xxnurse
2. Discontinuing xxthe xxmedication
3. Informing xxthe xxclient xxthat xxthis xxis xxnormal
4. Applying xxa xxthinner xxfilm xxthan xxprescribed xxto xxthe xxburn xxsite
2. Informing xxthe xxclient xxthat
this xxis xxnormal xx
xx
Rationale:
,Mafenide xxacetate xxis xxbacteriostatic xxfor xxgram-negative xxand xxgram-positive
xxorganisms xxand xxis xxused xxto xxtreat xxburns xxto xxreduce xxbacteria xxpresent xxin xxavascular
xxtissues. xxThe xxclient xxshould xxbe xxinformed xxthat xxthe xxmedication xxwill xxcause xxlocal
xxdiscomfort xxand xxburning xxand xxthat xxthis xxis xxa xxnormal xxreaction; xxtherefore xxoptions
xx1, xx2, xxand xx4 xxare xxincorrect
6.) The xxburn xxclient xxis xxreceiving xxtreatments xxof xxtopical xxmafenide xxacetate
xx(Sulfamylon) xxto xxthe xxsite xxof xxinjury. xxThe xxnurse xxmonitors xxthe xxclient, xxknowing
xxthat xxwhich xxof xxthe xxfollowing xxindicates xxthat xxa xxsystemic xxeffect xxhas xxoccurred?
1. Hyperventilation
2. Elevated xxblood xxpressure
3. Local xxpain xxat xxthe xxburn xxsite
4. Local xxrash xxat xxthe xxburn xxsite
1.Hyperventilat
ion xx
Rationale:
Mafenide xxacetate xxis xxa xxcarbonic xxanhydrase xxinhibitor xxand xxcan xxsuppress xxrenal
xxexcretion xxof xxacid, xxthereby xxcausing xxacidosis. xxClients xxreceiving xxthis xxtreatment
xxshould xxbe xxmonitored xxfor xxsigns xxof xxan xxacid-base xximbalance
xx(hyperventilation). xxIf xxthis xxoccurs, xxthe xxmedication xxshould xxbe xxdiscontinued
xxfor xx1 xxto xx2 xxdays. xxOptions xx3 xxand xx4 xxdescribe xxlocal xxrather xxthan xxsystemic
xxeffects. xxAn xxelevated xxblood xxpressure xxmay xxbe xxexpected xxfrom xxthe xxpain xxthat
xxoccurs xxwith xxa xxburn xxinjury.
7.) Isotretinoin xxis xxprescribed xxfor xxa xxclient xxwith xxsevere xxacne. xxBefore xxthe
xxadministration xxof xxthis xxmedication, xxthe xxnurse xxanticipates xxthat xxwhich xxlaboratory
xxtest xxwill xxbe xxprescribed?
1. Platelet xxcount
2. Triglyceride xxlevel
3. Complete xxblood xxcount
4. White xxblood xxcell xxcount
2. Triglyceride
xxlevel
xx Rationale:
Isotretinoin xxcan xxelevate xxtriglyceride xxlevels. xxBlood xxtriglyceride xxlevels xxshould xxbe
xxmeasured xxbefore xxtreatment xxand xxperiodically xxthereafter xxuntil xxthe xxeffect xxon xxthe
xxtriglycerides xxhas xxbeen xxevaluated. xxOptions xx1, xx3, xxand xx4 xxdo xxnot xxneed xxto xxbe
xxmonitored xxspecifically xxduring xxthis xxtreatment.
8.) A xxclient xxwith xxsevere xxacne xxis xxseen xxin xxthe xxclinic xxand xxthe xxhealth xxcare
xxprovider xx(HCP) xxprescribes xxisotretinoin. xxThe xxnurse xxreviews xxthe xxclient's
xxmedication xxrecord xxand xxwould xxcontact xxthe xx(HCP) xxif xxthe xxclient xxis xxtaking xxwhich
xxmedication?
1. Vitamin xxA
, 2. Digoxin xx(Lanoxin)
3. Furosemide xx(Lasix)
4. Phenytoin xx(Dilantin)
1. Vitamin
xxA
xxRationale
:
Isotretinoin xxis xxa xxmetabolite xxof xxvitamin xxA xxand xxcan xxproduce xxgeneralized
xxintensification xxof xxisotretinoin xxtoxicity. xxBecause xxof xxthe xxpotential xxfor xxincreased
xxtoxicity, xxvitamin xxA xxsupplements xxshould xxbe xxdiscontinued xxbefore xxisotretinoin
xxtherapy. xxOptions xx2, xx3, xxand xx4 xxare xxnot xxcontraindicated xxwith xxthe xxuse xxof
xxisotretinoin.
9.) The xxnurse xxis xxapplying xxa xxtopical xxcorticosteroid xxto xxa xxclient xxwith xxeczema. xxThe
xxnurse xxwould xxmonitor xxfor xxthe xxpotential xxfor xxincreased xxsystemic xxabsorption xxof
xxthe xxmedication xxif xxthe xxmedication xxwere xxbeing xxapplied xxto xxwhich xxof xxthe
xxfollowing xxbody xxareas?
1. Back
2. Axilla
3. Soles xxof xxthe xxfeet
4. Palms xxof xxthe xxhands
2. Axil
la
xxRationa
le:
Topical xxcorticosteroids xxcan xxbe xxabsorbed xxinto xxthe xxsystemic xxcirculation.
xxAbsorption xxis xxhigher xxfrom xxregions xxwhere xxthe xxskin xxis xxespecially xxpermeable
xx(scalp, xxaxilla, xxface, xxeyelids, xxneck, xxperineum, xxgenitalia), xxand xxlower xxfrom
xxregions xxin xxwhich xxpermeability xxis xxpoor xx(back, xxpalms, xxsoles).
10.) The xxclinic xxnurse xxis xxperforming xxan xxadmission xxassessment xxon xxa xxclient. xxThe
xxnurse xxnotes xxthat xxthe xxclient xxis xxtaking xxazelaic xxacid xx(Azelex). xxBecause xxof xxthe
xxmedication xxprescription, xxthe xxnurse xxwould xxsuspect xxthat xxthe xxclient xxis xxbeing
xxtreated xxfor:
1. Acne
2. Eczema
3. Hair xxloss
4. Herpes xxsimplex
1. Acne
xxRation
ale:
Azelaic xxacid xxis xxa xxtopical xxmedication xxused xxto xxtreat xxmild xxto xxmoderate xxacne.
xxThe xxacid xxappears xxto xxwork xxby xxsuppressing xxthe xxgrowth xxof xxPropionibacterium
xx xx xx xx
BANK/ATI PHARMACOLOGY EXAM 2024/245
xx xx xx xx
QUESTIONS WITH CORRECT ANSWERS AND
xx xx xx xx xx
RATIONALE/A+GRADED/ VERIFIED 2024-2025
xx xx xx
1) xxA xxnurse xxis xxcaring xxfor xxa xxclient xxwith xxhyperparathyroidism xxand xxnotes xxthat
xxthe xxclient's xxserum xxcalcium x x level xxis xx13 xxmg/dL. xxWhich xxmedication xxshould xxthe
xxnurse xxprepare xxto xxadminister xxas xxprescribed xxto xxthe xxclient?
1. Calcium xxchloride
2. Calcium xxgluconate
3. Calcitonin xx(Miacalcin)
4. Large xxdoses xxof xxvitamin xxD
3. xxCalcitonin xx(Miacalcin)
xxRationale:
The xxnormal xxserum xxcalcium xxlevel xxis xx8.6 xxto xx10.0 xxmg/dL. xxThis xxclient xxis
xxexperiencing xxhyperkalemia. xxCalcium xxgluconate xxand xxcalcium xxchloride xxare
xxmedications xxused xxfor xxthe xxtreatment xxof xxtetany, xxwhich xxoccurs xxas xxa xxresult xxof
xxacute xxhypocalcaemia. xxIn xxhyperkalemia, xxlarge xxdoses xxof xxvitamin xxD xxneed xxto xxbe
xxavoided.
Calcitonin, xxa xxthyroid xxhormone, xxdecreases xxthe xxplasma xxcalcium xxlevel xxby xxinhibiting
xxbone xxresorption xxand xxlowering xxthe xxserum xxcalcium xxconcentration.
2.) Oral xxiron xxsupplements xxare xxprescribed xxfor xxa xx6-year-old xxchild xxwith xxiron
xxdeficiency xxanemia. xxThe xxnurse xxinstructs xxthe xxmother xxto xxadminister xxthe xxiron
xxwith xxwhich xxbest xxfood xxitem?
1. Milk
2. Water
3. Apple xxjuice
4. Orange xxjuice
4.
xxOrange
xxjuice
xxRationa
le:
Vitamin xxC xxincreases xxthe xxabsorption xxof xxiron xxby xxthe xxbody. xxThe xxmother xxshould
xxbe xxinstructed xxto xxadminister xxthe xxmedication xxwith xxa xxcitrus xxfruit xxor xxa xxjuice
xxthat xxis xxhigh xxin xxvitamin xxC. xxMilk xxmay xxaffect xxabsorption xxof xxthe xxiron. xxWater
xxwill xxnot xxassist xxin xxabsorption. xxOrange xxjuice xxcontains xxa xxgreater xxamount xxof
xxvitamin xxC xxthan xxapple xxjuice.
, 3.) Salicylic xxacid xxis xxprescribed xxfor xxa xxclient xxwith xxa xxdiagnosis xxof xxpsoriasis. xxThe
xxnurse xxmonitors xxthe xxclient, xxknowing xxthat xxwhich xxof xxthe xxfollowing xxwould
xxindicate xxthe xxpresence xxof xxsystemic xxtoxicity xxfrom xxthis xxmedication?
1. Tinnitus
2. Diarrhea
3. Constipation
4. Decreased xxrespirations
1. Tinnit
us
xxRation
ale:
Salicylic xxacid xxis xxabsorbed xxreadily xxthrough xxthe xxskin, xxand xxsystemic xxtoxicity
xx(salicylism) xxcan xxresult. xxSymptoms
include xxtinnitus, xxdizziness, xxhyperpnea, xxand xxpsychological xxdisturbances.
xxConstipation xxand xxdiarrhea xxare xxnot xxassociated xxwith xxsalicylism.
4.) The xxcamp xxnurse xxasks xxthe xxchildren xxpreparing xxto xxswim xxin xxthe xxlake xxif xxthey
xxhave xxapplied xxsunscreen. xxThe xxnurse xxreminds xxthe xxchildren xxthat xxchemical
xxsunscreens xxare xxmost xxeffective xxwhen xxapplied:
1. Immediately xxbefore xxswimming
2. 15 xxminutes xxbefore xxexposure xxto xxthe xxsun
3. Immediately xxbefore xxexposure xxto xxthe xxsun
4. At xxleast xx30 xxminutes xxbefore xxexposure xxto xxthe xxsun
At xxleast xx30 xxminutes xxbefore xxexposure
xxto xxthe xxsun xx
Rationale:
Sunscreens xxare xxmost xxeffective xxwhen xxapplied xxat xxleast xx30 xxminutes xxbefore
xxexposure xxto xxthe xxsun xxso xxthat xxthey xxcan xxpenetrate xxthe xxskin. xxAll xxsunscreens
xxshould xxbe xxreapplied xxafter xxswimming xxor xxsweating.
5.) Mafenide xxacetate xx(Sulfamylon) xxis xxprescribed xxfor xxthe xxclient xxwith xxa xxburn
xxinjury. xxWhen xxapplying xxthe xxmedication, xxthe xxclient xxcomplains xxof xxlocal
xxdiscomfort xxand xxburning. xxWhich xxof xxthe xxfollowing xxis xxthe xxmost xxappropriate
xxnursing xxaction?
1. Notifying xxthe xxregistered xxnurse
2. Discontinuing xxthe xxmedication
3. Informing xxthe xxclient xxthat xxthis xxis xxnormal
4. Applying xxa xxthinner xxfilm xxthan xxprescribed xxto xxthe xxburn xxsite
2. Informing xxthe xxclient xxthat
this xxis xxnormal xx
xx
Rationale:
,Mafenide xxacetate xxis xxbacteriostatic xxfor xxgram-negative xxand xxgram-positive
xxorganisms xxand xxis xxused xxto xxtreat xxburns xxto xxreduce xxbacteria xxpresent xxin xxavascular
xxtissues. xxThe xxclient xxshould xxbe xxinformed xxthat xxthe xxmedication xxwill xxcause xxlocal
xxdiscomfort xxand xxburning xxand xxthat xxthis xxis xxa xxnormal xxreaction; xxtherefore xxoptions
xx1, xx2, xxand xx4 xxare xxincorrect
6.) The xxburn xxclient xxis xxreceiving xxtreatments xxof xxtopical xxmafenide xxacetate
xx(Sulfamylon) xxto xxthe xxsite xxof xxinjury. xxThe xxnurse xxmonitors xxthe xxclient, xxknowing
xxthat xxwhich xxof xxthe xxfollowing xxindicates xxthat xxa xxsystemic xxeffect xxhas xxoccurred?
1. Hyperventilation
2. Elevated xxblood xxpressure
3. Local xxpain xxat xxthe xxburn xxsite
4. Local xxrash xxat xxthe xxburn xxsite
1.Hyperventilat
ion xx
Rationale:
Mafenide xxacetate xxis xxa xxcarbonic xxanhydrase xxinhibitor xxand xxcan xxsuppress xxrenal
xxexcretion xxof xxacid, xxthereby xxcausing xxacidosis. xxClients xxreceiving xxthis xxtreatment
xxshould xxbe xxmonitored xxfor xxsigns xxof xxan xxacid-base xximbalance
xx(hyperventilation). xxIf xxthis xxoccurs, xxthe xxmedication xxshould xxbe xxdiscontinued
xxfor xx1 xxto xx2 xxdays. xxOptions xx3 xxand xx4 xxdescribe xxlocal xxrather xxthan xxsystemic
xxeffects. xxAn xxelevated xxblood xxpressure xxmay xxbe xxexpected xxfrom xxthe xxpain xxthat
xxoccurs xxwith xxa xxburn xxinjury.
7.) Isotretinoin xxis xxprescribed xxfor xxa xxclient xxwith xxsevere xxacne. xxBefore xxthe
xxadministration xxof xxthis xxmedication, xxthe xxnurse xxanticipates xxthat xxwhich xxlaboratory
xxtest xxwill xxbe xxprescribed?
1. Platelet xxcount
2. Triglyceride xxlevel
3. Complete xxblood xxcount
4. White xxblood xxcell xxcount
2. Triglyceride
xxlevel
xx Rationale:
Isotretinoin xxcan xxelevate xxtriglyceride xxlevels. xxBlood xxtriglyceride xxlevels xxshould xxbe
xxmeasured xxbefore xxtreatment xxand xxperiodically xxthereafter xxuntil xxthe xxeffect xxon xxthe
xxtriglycerides xxhas xxbeen xxevaluated. xxOptions xx1, xx3, xxand xx4 xxdo xxnot xxneed xxto xxbe
xxmonitored xxspecifically xxduring xxthis xxtreatment.
8.) A xxclient xxwith xxsevere xxacne xxis xxseen xxin xxthe xxclinic xxand xxthe xxhealth xxcare
xxprovider xx(HCP) xxprescribes xxisotretinoin. xxThe xxnurse xxreviews xxthe xxclient's
xxmedication xxrecord xxand xxwould xxcontact xxthe xx(HCP) xxif xxthe xxclient xxis xxtaking xxwhich
xxmedication?
1. Vitamin xxA
, 2. Digoxin xx(Lanoxin)
3. Furosemide xx(Lasix)
4. Phenytoin xx(Dilantin)
1. Vitamin
xxA
xxRationale
:
Isotretinoin xxis xxa xxmetabolite xxof xxvitamin xxA xxand xxcan xxproduce xxgeneralized
xxintensification xxof xxisotretinoin xxtoxicity. xxBecause xxof xxthe xxpotential xxfor xxincreased
xxtoxicity, xxvitamin xxA xxsupplements xxshould xxbe xxdiscontinued xxbefore xxisotretinoin
xxtherapy. xxOptions xx2, xx3, xxand xx4 xxare xxnot xxcontraindicated xxwith xxthe xxuse xxof
xxisotretinoin.
9.) The xxnurse xxis xxapplying xxa xxtopical xxcorticosteroid xxto xxa xxclient xxwith xxeczema. xxThe
xxnurse xxwould xxmonitor xxfor xxthe xxpotential xxfor xxincreased xxsystemic xxabsorption xxof
xxthe xxmedication xxif xxthe xxmedication xxwere xxbeing xxapplied xxto xxwhich xxof xxthe
xxfollowing xxbody xxareas?
1. Back
2. Axilla
3. Soles xxof xxthe xxfeet
4. Palms xxof xxthe xxhands
2. Axil
la
xxRationa
le:
Topical xxcorticosteroids xxcan xxbe xxabsorbed xxinto xxthe xxsystemic xxcirculation.
xxAbsorption xxis xxhigher xxfrom xxregions xxwhere xxthe xxskin xxis xxespecially xxpermeable
xx(scalp, xxaxilla, xxface, xxeyelids, xxneck, xxperineum, xxgenitalia), xxand xxlower xxfrom
xxregions xxin xxwhich xxpermeability xxis xxpoor xx(back, xxpalms, xxsoles).
10.) The xxclinic xxnurse xxis xxperforming xxan xxadmission xxassessment xxon xxa xxclient. xxThe
xxnurse xxnotes xxthat xxthe xxclient xxis xxtaking xxazelaic xxacid xx(Azelex). xxBecause xxof xxthe
xxmedication xxprescription, xxthe xxnurse xxwould xxsuspect xxthat xxthe xxclient xxis xxbeing
xxtreated xxfor:
1. Acne
2. Eczema
3. Hair xxloss
4. Herpes xxsimplex
1. Acne
xxRation
ale:
Azelaic xxacid xxis xxa xxtopical xxmedication xxused xxto xxtreat xxmild xxto xxmoderate xxacne.
xxThe xxacid xxappears xxto xxwork xxby xxsuppressing xxthe xxgrowth xxof xxPropionibacterium
